Ambulatory Surgical Center
EHR Software

Surgical centers that reinvent their operating core grow faster and lose less.
Ambulatory surgical center software from OmniMD integrates EMR, EHR, facility billing, OR scheduling, quality reporting, and compliance in one platform. Built for how surgical centers operate. Not adapted from how hospitals do.

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Ambulatory Surgical Center Software_ EMR, EHR, Billing and Scheduling

Why Most ASCs Are Losing
Money on Technology

Half of healthcare organizations lack a technology strategy aligned to their
operating model. The cost does not show up as a system error. It shows up in
OR utilization, denied claims, and CMS penalties.

The reimbursement gap is structural, not configurational

The reimbursement gap is
structural, not configurational

General platforms produce physician claims. ASCs require UB-04 claims, facility fee schedules, and revenue codes that do not exist in physician billing. Configuration does not close that gap.

OR time is unmanaged in most platforms

OR time is unmanaged in most
platforms

Block scheduling, preference cards, and real-time room coordination are the revenue core of a surgical center. Most EHRs have no architecture for them. The cost compounds daily.

Quality compliance is a financial control now

Quality compliance is a financial
control now

Centers that collect ASCQRP measures manually absorb a defined risk: a 2% Medicare reduction, every period. Centers that embed collection into care delivery remove that risk entirely.

How OmniMD Helps You

One platform across every function a surgical center depends on. Built for ASC care economics, billing rules, and compliance from the start.

Specialty-specific templates, anesthesia documentation, post-op notes, and consent management with electronic signatures. HL7 FHIR exchange connects the surgical EHR across payers, referral networks, and facilities.

Specialty-specific surgical note templates

Anesthesia documentation, post-op notes, consent forms

Electronic signatures for compliance handoffs

Interoperable EHR HL7 FHIR exchange across payers & facilities

OmniMD operative notes screen showing specialty-specific templates and electronic consent documentation

UB-04 generation with automated revenue code assignment. Medicare fee schedule crosswalk built into claim logic. Denial management on ASC-specific adjudication rules. HCPCS coding and modifier optimization as standard.

Built-in UB-04 claim generation with automated revenue code assignment

ASC fee schedule crosswalk for Medicare claims

Denial management with ASC-specific reason code logic

HCPCS coding support and modifier optimization

Screenshot of OmniMD's ASC revenue cycle dashboard showing UB-04 claims, coding, and denial management

Block time assigned, tracked, and released at the surgeon level. Preference cards at scheduling. Real-time room status. Pre-op tied to the OR calendar. Same-day admission through discharge without gaps.

OR block time management: assign, track, and release surgeon blocks

Surgeon preference cards auto-loaded at time of scheduling

Real-time room status board and wait time tracking

Same-day admission to discharge workflow

Pre-op appointment scheduling linked to OR calendar

OmniMD OR scheduling screen showing surgeon block time, room status, and case tracking through discharge

ASCQRP measures collected automatically as care is delivered. No secondary entry. No 2% Medicare exposure. Benchmarked continuously against national ASC averages.

Automated ASCQRP measure collection from clinical documentation

CMS quality data submission management

Avoid the 2% Medicare payment reduction for non-compliant ASCs

Quality benchmarking dashboard vs. national ASC averages

OmniMD quality reporting dashboard tracking ASCQRP measures and benchmarking against national ASC averages

AAAHC and Joint Commission documentation support continuously, not only before surveys. Live survey-readiness tracking. HIPAA audit trails on demand. OIG monitoring for high-risk procedures.

AAAHC and Joint Commission accreditation documentation support

Policy and procedure management with survey-readiness tracking

HIPAA audit trail and access control reporting

OIG compliance program monitoring for high-risk ASC procedures

OmniMD accreditation dashboard tracking AAAHC and Joint Commission survey readiness and HIPAA audit trails

Per-case cost including implants and devices. Payer mix and contract performance alongside clinical and billing data. Supply chain cost tied to case outcomes.

Per-case cost analysis and implant cost tracking

Payer mix reporting and contract performance

Supply chain cost visibility

OmniMD case economics screen showing per-case cost, payer mix, and supply chain data tied to outcomes

What You’ll Achieve By Specialty

Orthopedic ASC EHR

Bilateral procedures, implant tracking, bone graft billing, and preference cards. Built for orthopedic workflows, not approximated from general templates.

  • Bilateral procedures
  • Implant tracking
  • Bone graft billing

ASC Pain Management

Fluoroscopy templates, PDMP integration, and injection documentation for interventional workflows. Consistent across every physician.

  • Fluoroscopy templates
  • PDMP integration
  • Injection docs

Multispecialty ASC

One platform across every service line. No parallel systems, no
reconciliation between disconnected tools.

  • Every service line
  • One record
  • No parallel systems

Same-Day Surgery Center

Rapid check-in through same-day discharge. The platform accelerates throughput rather than constraining it.

  • Rapid check-in
  • Same-day discharge
  • Throughput

Why OmniMD Over a General
EHR or Hospital System

The best ASC software is not the broadest platform. It is the one designed around ASC care economics, billing rules, and compliance from the start.

Capability

ASC surgical templates

OR block scheduling

Integrated UB-04 billing

ASCQRP automated reporting

Implant & device cost tracking

Accreditation compliance tools

ASC surgical templates

Generic EHR

Add-on

Limited

Hospital System

Limited

OmniMD logo marking the OmniMD column in the EHR and hospital-system feature comparison table

What ASC leaders say

  • After comparing many EMRs, I determined that OmniMD was the best software for my new clinic. I run a high volume family practice clinic. OmniMD is used for scheduling, reminder calls, medical records, insurance and patient billing. OmniMD is a critical tool for my practice. It is a very good software, but I am also very pleased with the level of service OmniMD provides with their technical support team.
    Dawn K. Walker
    Dawn K. Walker
    D.O – Walker Family Medicine, PLC
  • Our practice has been very pleased with the outcomes of your billing and collection services. You have been both informative and patient as we continue to become a more efficient practice. We have recognized that collections have been improved due to your diligence and tenacity. Thank you for your kindness and hard work.
    Maureen Lacey
    Maureen Lacey
    Office Manager – Psychiatry Practice
  • OmniMD EHR and Billing software has truly streamlined our operations at Solid Sobriety. Their billing tools have improved our efficiency, significantly reducing errors and boosting revenue. What stands out most is their exceptional customer support- the team is always available, knowledgeable, and proactive in solving any challenges we face. We couldn’t be happier with the partnership.
    Brad Paley
    Brad Paley
    Clinical Director – Solid Sobriety
  • I have been a practitioner for over a decade and worked various EMR programs in the past by far OmniMD surpasses all my expectations. It’s easy to navigate and your entire note in one page with only a few clicks to complete. I own a family medical practice/ spa and I am very happy that I chose OmniMD. Their support staff is amazing they are always available to assist you.
    Lucy Thompson
    Lucy Thompson
    Rocky Hill Clinic Founder
  • As a new startup practice, we knew that selecting the right EHR system was crucial for establishing efficient workflows and seamless patient care. OmniMD exceeded our expectations with its intuitive, customizable platform and outstanding customer support. From implementation to ongoing assistance, their team has been incredibly responsive, guiding us through every step and ensuring a smooth transition.
    Brandy Cook, RN, FNP-C - Total Care & Weight Loss Clinic
    Brandy Cook, RN, FNP-C
    Total Care & Weight Loss Clinic
  • For more than a decade, OmniMD has been an integral part of our practice, offering a user-friendly software wireframe that makes charting extremely easy and enhancing our approach to out-of-network patients. The intuitive design and functionality have allowed us to improve patient care and operational efficiency significantly.
    Headshot of Dr. Ismail Alhamrawy, physician at Spine & Joint Pain Center, sharing his OmniMD testimonial
    Dr. Ismail Alhamrawy, MD
    Spine & Joint Pain Center
  • Hello, I’m Eman, for the past 10 years, OmniMD has been instrumental in transforming our billing operations. The reduction in claim denials and the ease of handling claims have not just streamlined our work but have also allowed us to focus more on patient care. The efficiency and reliability that OmniMD offers are unparalleled, and it has been a vital component of our practice’s success.
    Headshot of Eman, Office Manager at Scotch Plains Medical Center, sharing her OmniMD testimonial
    Eman, Office Manager
    Scotch Plains Medical Center
Surgical team consulting on case details, illustrating OmniMD's free ASC demo session

Book your free ASC demo

A working session on your specialty, your case volume, and the gaps you are currently managing around.

Book your free ASC demo
  • Mapped to your specialty & case volume
  • No obligation beyond the conversation

Still Have Questions?

Yes, our solutions include a fully integrated EHR, PMS, RCM, and Remote Patient Monitoring system. These systems are designed with interoperability in mind, ensuring direct data exchange across various platforms and healthcare systems.  

Our ASC software is designed to meet the unique needs of specialty surgeries such as orthopedics, ophthalmology, gastroenterology, and general surgery. We offer customizable templates for surgical specialties and ensure accurate documentation, coding, and billing processes to optimize operational efficiency. 

Our integrated RCM system reduces the risk of denied claims and improves reimbursement rates by providing complete clinical quality measure (CQM) reporting, MIPS & MACRA functionalities, and precision coding algorithms that maximize your ASC’s financial performance. 

Our system includes features such as unified immunization scheduling, real-time wait time tracking, and online registration/check-in workflows. These tools help simplify patient flow from check-in to discharge, reducing bottlenecks and improving overall efficiency in your ASC. 

Yes, our ASC solutions include powerful telehealth capabilities, such as virtual visits, online scheduling, and telemedicine features that allow for improved patient access to care, all supported by EPCS/eRX and bi-directional lab integration for direct clinical management. 

We are your best choice as we:

  • Offer direct patient data exchange with other healthcare systems
  • Adhere to HIPPA and ONC compliance
  • Use avant-garde benchmarking and analytical tools
  • Provide real-time updates, mobile integration, remote patient monitoring, and more.

OmniMD supports all current ASCQR (Ambulatory Surgical Center Quality Reporting) measures required by CMS for Medicare-certified ASCs. For claims-based measures (ASC-1 patient burn, ASC-2 patient fall, ASC-12 7-day hospital visit rate, ASC-14 unplanned anterior vitrectomy), OmniMD ensures the correct ICD-10-PCS and CPT codes are submitted on the facility claim so CMS can extract measure data automatically — no separate submission required. For the ASC-11 cataract visual function measure, OmniMD schedules the 90-day follow-up survey for each eligible patient through the integrated patient portal and collects responses in structured format. For the ASC-13 normothermia attestation and ASC-15 OAS CAHPS survey program, OmniMD generates the annual policy attestation and connects with CMS-approved survey vendors. ASCs that do not participate in ASCQR reporting face a 2 percentage point reduction in their annual ASC fee schedule update — a permanent revenue reduction, not a one-time penalty.

Yes. OmniMD’s ASC EHR includes accreditation-ready templates for all three major accreditation bodies: AAAHC, The Joint Commission, and QUAD A. For AAAHC and Joint Commission surveys, OmniMD provides structured H&P templates that lock with a time stamp, informed consent with e-signature and version control, Universal Protocol time-out checklists embedded in the procedure note (required by The Joint Commission), and complete anesthesia assessment documentation. For QUAD A, OmniMD generates quality improvement data reports and maintains the adverse event log in structured format. OmniMD also generates pre-survey chart audit reports that identify records missing required elements — H&P older than 30 days, missing consent signatures, incomplete anesthesia notes — so ASC administrators can correct deficiencies before the survey. For CMS Conditions for Coverage, OmniMD tracks medical record completion with overdue alerts and maintains the transfer agreement documentation in the facility profile. Accreditation by one of these bodies is required for Medicare enrollment and is a condition of network participation with most major commercial payers.

OmniMD applies Modifier -73 or -74 automatically based on the documented cancellation point in the anesthesia note. Modifier -73 applies when a procedure is discontinued by the physician before anesthesia administration or surgical preparation is complete — the ASC receives 50% of the applicable facility fee. Modifier -74 applies when a procedure is discontinued after anesthesia induction or after the patient has been prepared and brought to the OR — the ASC receives 100% of the facility fee even though the procedure was not completed. OmniMD determines which modifier applies by checking whether the anesthesia start time was documented before the procedure was cancelled. If no anesthesia start time is on record, the system defaults to Modifier -73 and sends an alert to the billing team to verify before the claim is submitted. The reason for discontinuation must be documented in both the anesthesia note and the procedure note for the modifier to withstand payer review. Incorrect modifier selection is a frequent audit finding in ASC billing reviews — -73 instead of -74 costs the facility 50% of the case revenue.

OmniMD reconciles the OR implant log against the facility claim within 24 hours of each case. For each implantable device — pedicle screws, IOLs, knee anchors, bone graft material — the system matches the quantity documented on the implant log to the quantity on the facility claim, flags any discrepancy, and attaches the UDI (Unique Device Identifier) to the claim line per 42 CFR 424.516 requirements. Device C-codes (C1713 for anchors/screws, V2632 or V2634 for IOLs, and other device-specific codes) are linked to the procedure CPT code in OmniMD’s charge master so that the billing team receives a pre-populated device line for each eligible procedure. For total knee arthroplasty cases (CPT 27447), which CMS added to the ASC-covered procedure list in 2020, OmniMD captures the implant invoice data for each component and reconciles within the payer’s required timeframe. Missing or under-coded device C-codes are a direct revenue loss because the device cost is not included in the base ASC facility fee — it must be billed and reimbursed separately through the device pass-through mechanism.

Yes. OmniMD’s multi-specialty ASC configuration maintains separate procedure templates, charge master entries, and billing rules for each service line within a single platform. For ophthalmology cases (66984 cataract, 66982), the system applies the IOL code lookup and V2632/V2634 selection automatically based on lens type documented in the operative note. For orthopedic cases (27447 TKA, 29881 knee arthroscopy, 29827 shoulder arthroscopy), the system activates the implant reconciliation workflow and captures UDI data from the OR implant log. For GI cases (45378 colonoscopy, 43239 EGD), the system applies the correct upgrade CPT (45380 with biopsy, 45385 with polypectomy) when pathology is documented. For pain management cases (62322 lumbar epidural, 64483 transforaminal), the system checks that imaging guidance is not separately billed (bundled into 62322 since 2017) and verifies authorization is on file for each level billed. OR scheduling in a multi-specialty ASC also requires different room setups, equipment trays, and preference cards by procedure type — OmniMD’s scheduling module assigns all of these by procedure, not just by surgeon, so the correct room configuration is loaded before each case.

The Medicare ASC facility fee schedule pays approximately 55-65% of the HOPD (hospital outpatient department) outpatient prospective payment rate for most procedures. However, for certain high-volume procedures — particularly cataract surgery (66984) after factoring in the IOL device pass-through, and colonoscopy (45378) — the effective ASC revenue can match or exceed the HOPD rate because device costs are reimbursed separately on the ASC claim while already bundled into the HOPD APC rate. Physician groups evaluating whether to migrate volume from a hospital outpatient setting to a physician-owned ASC need procedure-specific rate modeling before making that decision. OmniMD supports this analysis by pulling the current ASC payment group assignment and current payment rate for each CPT code the practice bills, alongside the corresponding HOPD APC rate, so administrators can see the per-procedure differential in concrete dollar terms. For procedures where CMS has expanded the ASC covered procedure list — total knee arthroplasty (27447) was added in 2020, total hip arthroplasty (27130) in 2020 — OmniMD’s charge master automatically includes the ASC payment group assignment and correct billing rules for these procedures.

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